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10.5606/tgkdc.dergisi.2020.18109
Urgent double switch operation in a patient with congenitally corrected transposition of great arteries and an untrained systemic ventricle
Mehmet Salih Bilal1, Arda Özyüksel1,2, Mustafa Kemal Avşar1, Özgür Yıldırım1
1Department of Cardiovascular Surgery, Medicana International Istanbul Hospital, Istanbul, Turkey
2Department of Cardiovascular Surgery, Biruni University, Istanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2020.18109
Congenitally corrected transposition of the great arteries is a
rare cardiac abnormality. A nine-month-old male infant with
the diagnosis of congenitally corrected transposition of the great
arteries was admitted to our clinic with a history of pulmonary
artery banding to train the left ventricle three months ago. On
admission, he presented with bronchopneumonia, cyanosis,
dyspnea, and severe biventricular heart failure associated with
significant valvular regurgitation. An urgent double switch
operation was performed with atrial and arterial switch
procedures. Eight days of mechanical circulatory support was
deemed mandatory following surgery. The patient is still under
follow-up uneventfully three years after the operation.
Keywords : Congenitally corrected transposition of the great arteries, double switch procedure, intact interventricular septum, pulmonary artery banding
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